摘要
目的探讨Dieulafoy病的发病情况、临床特征、诊断与治疗。方法收集我院1996年～2008年7月间收治的上消化道出血病人1 470例,对其中检出的19例Dieulafoy病病例的临床特征、内镜下表现及治疗方法进行回顾性分析。结果Dieulafoy病约占上消化道出血的1.3%,19例Dieulafoy病中,病灶位于胃底5例,胃体10例,胃窦部2例,贲门部1例,十二指肠球部1例,其中17例均于胃镜下可直接见破裂血管,有10例可见活动性出血。病灶直径1.0～3.0 mm。于内镜下行病灶黏膜下局部注射5%鱼甘油酸钠,1例因再出血予手术治疗。结论Dieulafoy病是上消化道大出血的少见而重要的病因,该病诊断主要依靠胃镜检查,通过内镜早期诊断和治疗可以取得很好的疗效。
Objective To discuss the clinical features, endoscopic diagnosis and treatment of 19 cases of Dieulafoy disease in the upper gastrointestinal （GI） bleeding. Methods Data of 19 cases of Dieulafoy disease out of 1 470 patients with the upper GI bleeding from 1996 to July 2008 were reviewed and analyzed retrospectively including the clinical features, the endoscopic examination and the endoscopic therapies. Results Percentage of 1.3 of the cases with upper GI bleeding were caused by Dieulafoy disease. In 19 cases of Dieulafoy disease, 5 cases were found in the fundus of stomach, 10 cases in the body of stomach, 1 case in the cardia and 1 case in the duodenum. Broken blood vessel was found in 17 cases, and 10 cases of them were found with blood spurting out of artery. The diameter of the lesion was 1.0 - 3.0 mm. All patients were initially treated by endoscopic injection therapy with 5% Sodium Morrhuate. One case had recurrent bleeding and it was treated by surgery. Conclusion Dieulafoy disease is an uncommon but major cause for upper GI bleeding. Emergent endoscopic examination and therapy in the early stage can be very effective.
出处
《胃肠病学和肝病学杂志》
CAS
2010年第3期247-248,共2页
Chinese Journal of Gastroenterology and Hepatology
